Mcet-Longview

NPI #1083150569 in Longview, Texas

Provider Information

NPI Number
1083150569
Entity Type
Organization
Organization Name
Mcet-Longview
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Jan 9, 2017
Last Updated
Jan 9, 2017

Practice Location

Address
505 NORTH SIXTH STREET
State
Texas
ZIP Code
75602
Phone
(903) 520-4710

Authorized Official

Name
MR. ROBERT JACOBS
Title
PROGRAM DIRECTOR
Phone
(903) 520-4710

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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